Name: ______________________________________________

Address: ____________________________________________

City: ______________________ State: ______ Zip: __________

Email Address: _______________________________________

Telephone Number: ____________________________________

I will send a one time gift of $______

I want to support Coming Clean Ministries on a regular basis by sending help every month* $10___$25____$50_____$100____Other_____

*To save you time and effort, we will gladly send you a free supply of return envelopes. How many would you like?_______

Thank you for your tax-deductible gift to Coming Clean Ministries. We are a 501-C-3 non-profit organization and will send you a copy of our most recent annual financial statement at your request. The IRS permits you to claim as a tax deduction the amount of your gift that exceeds the fair market value of materials received from us. This information will be included on your receipt. May God richly reward you for your generosity.